Widow Woman’s Ranch

D. E. Larsen, DVM

I could see Dan waiting at the gate to the barnyard when I pulled into his driveway off of Pleasant Valley Road. There was still some snow on the ground from a late spring snowfall, and it added a chill to the air.

“Dan, I got the message that you wanted me to stop by, but I didn’t get any other information,” I said as I extended my hand.

Dan shook my hand. His hands were heavily calloused, and his fingers bent from arthritis. I am sure his handshake was much firmer in past years.

“I want you to look at my old horse, Joe,” Dan said. “This time of the year, I keep him in the barn. I’ve noticed that he has one heck of a time eating. He takes a mouthful of grain, and more of it dribbles back into the feed rack than he swallows.”

“That might be something pretty simple,” I said. “How long has it been since his teeth have been floated?”

“They probably have never been floated, since I don’t know what that means.”

“The horse’s teeth continue to erupt throughout their life. They wear against themselves, and sometimes, when they get a few years on their mouth, they develop sharp points on the edge of the teeth that need to be filed off.”

“You just say, open wide, I guess,” Dan said.

“Some horses object to the procedure more than others, but we have a little device to help hold the mouth open. Some horses stand right there and let it happen, some need a twitch, and then there are a few who need some drugs to help them relax.”

“Joe, he’s a pretty mellow old horse. He’s sort of like Mom and me. He was a lot prettier twenty years ago than he is today.”

“Let’s go get a look at Joe,” I said.

“I’m a little embarrassed to take you into the barn,” Dan said. “This place looks like a widow woman’s ranch anymore. I’m too damn old to keep it up anymore. Our son, Stan, died in that war, and our daughter doesn’t live close. She tries to help some. But you probably know how it is when you are working and have a young family. There is just so much time you have to give to the old man.”

“I’m sorry about your son. There were far too many young men lost over there. I was in the Army for four years, but I was able to avoid Vietnam. I had a good friend who came home in a box, though. I am glad that it is over.”

Dan didn’t respond to my comment. He busied himself with the gate that we had stopped at on the driveway leading to the barn. Dan was having some trouble untying some baling twine that held the gate closed.

“I’ve never heard the term, ‘widow woman’s ranch’,” I said.

“Nothing is fixed. All the fences lean this way or that. Everything is held together by baling wire or twine. The wire lasts a lot longer than the twine, but they don’t bale hay with wire much anymore. Or maybe, I just don’t buy alfalfa much anymore. Twenty years ago, I would’ve replaced any leaning post. Or at least, reset it. Now I just support it with a mesh made out of twine. It is a good thing I don’t have much stock anymore. We feed out a steer for meat, for ourselves, and our daughter’s family. And then there is Joe. And Joe knows he doesn’t want to get out. He’s got it made here, three square meals a day, and nothing is expected in return. Even the grandkids don’t seem to want to ride him anymore.”

I helped Dan with the large barn door. We had to lift it a bit, and then it would slide. It looked like the rollers needed a little grease, but I wasn’t going to say anything. 

I was shocked at the inside of the barn. It was immaculate, like stepping into a barn twenty years in the past.

“I try to keep this place like Stan would remember it,” Dan said.

Joe was in a large stall. He whinnied and tossed his head happily.

Joe was old, a buckskin. He was probably a striking horse in his day. Now his face was grayed, and his muscle mass was fading.

“Let’s get a halter on him so I can look at that mouth,” I said as I reached for a halter and lead rope hanging on a hook at the gate leading into the stall.

“Don’t use that one,” Dan said. “Stan hung that one there the last time he rode Joe before going to Vietnam. Joe was Stan’s horse, you see. Joe is the only connection I have to Stan. I worry what will happen to him if this old guy outlives me.”

I could see some moisture in Dan’s eyes as he spoke. I had to look away for a moment and take a couple of deep breaths before I tried to talk.

“I’m sure your daughter will take care of Joe,” I said.

“She has nowhere to keep him, but I guess she could find someone to take care of him. I have it all spelled out. I have a place picked out for him behind the barn. Joe and I go out at times and talk about how things used to be when Stan was around.”

I grabbed the old halter that Dan had been holding and stepped into the stall. I needed to get to work to change the subject.

Joe nuzzled me when I slipped the halter over his nose. I tied the lead to a ring hanging on the feed rack. Joe had no problem when I ran my index finger along the insides of his cheeks to feel the points on his back teeth.

I grabbed Joe’s tongue and pulled it to the side, causing Joe to open his mouth a little. With a small penlight, I got a good view of the left side of his mouth. Switching hands and pulling the tongue to the other side, I viewed the right side of his mouth.

Joe had jagged points on the inside of his lower cheek teeth and the outside of his upper teeth. I could see sores on both sides of his tongue and on the inside of both cheeks. Joe should feel much better with these teeth floated.

Joe was remarkably tolerant. I grabbed his tongue and inserted the float in the left side of his mouth. With long slow strokes of the float blade, you could hear the points disappear as the sound went from a rough rasping sound to a smooth, almost silent sound. I finished the floating in a couple of minutes.

I smiled as I felt Joe’s teeth after I was done.

“These are as smooth as can be now. I think you’ll see a big difference for Joe.” 

“I hope so. I am a little surprised that Joe wasn’t bothered by that whole thing,” Dan said.

“Yes, he is pretty exceptional to stand there and take it with no restraint and no speculum.”

“Do you think he is going to be able to eat now?”

“I think you’ll find he is a new horse. But to be sure, I’ll check with you in a few days.”

***

I was driving by Dan’s place a few days later, and when I noticed him coming out of the barn, I stopped to ask about Joe.

“Good morning, Dan,” I said. “I just wanted to check on how Joe was eating after I worked on him the other day.”

“He’s doing great. Doesn’t dribble a bit of grain. I think he enjoys eating now. If I had known that was a problem, I would’ve had you do his teeth a long time ago.”

“At his age, we should plan to check him every year, just to keep him as comfortable as we can for his old age.”

“That sounds like a good plan,” Dan said. “I’ll try to remember to give you a call.”

***

It was probably 3 years later when Dan gave me a call. He wouldn’t talk to Sandy when she answered the phone. He only wanted to talk with me.

“Doc, this is a terrible day for me,” Dan said. “I think I need you to come and put Joe to sleep for me. He sliped going out of the barn the other day, and he must have hurt a hip or something. He can hardly walk.”

“Do you want me to examine him first?” I asked. “It could be something simple that we help with some medication.”

“No, I think it is time for him to go see Stan. I’ve already had a neighbor over. He dug a hole with his backhoe, out behind the barn, under that big maple tree.”

“When do you want to do this, Dan?” I asked.

“The sooner, the better, do you have time to come now?”

“I’ll make time, Dan. I’ll be out there in a few minutes.”

Dan was waiting for me at the Barn door. I helped him with the door again. Joe was lying down when we entered the barn. It was quite a struggle for him to get on his feet.

Dan had tears in his eyes and one running down his left cheek.

“Can you get Stan’s halter down for me?” Dan asked. “This getting old stuff is no fun for me either.”

I remembered that Dan didn’t want to use this halter when I was out before to look at Joe.

“You want the one that Stan hung up?” I asked.

“Yes, we are going to bury him with it. I figure that is what Stan would have wanted.”

I carefully, almost reverently, lifted the halter and lead rope off the hook. Dan took it and held it close to his chest as he walked through the gate to Joe’s stall. Joe snickered softly as he smelled the halter. Dan slipped in on the halter and patted Joe on the neck.

“We can go out the back door,” Dan said as he started Joe toward the door. Joe was hardly bearing any weight on his right hind leg. Dan was correct. It was probably time.

Dan lead Joe out and had him lying down by the large hole that was recently dug. 

“He knows the routine. I’ve been bringing him out on good days for the last year. He lays down, and I sit here with him, and we talk about the old days.”

“Dan, do you want to stay for this?” I asked. “You could wait in the house or the barn.”

“No, Joe wants me to be here. It’s okay, Doc. Joe’s going to see Stan.”

“This is pretty fast stuff. I’m going to give him an injection to sedate him a little. Then, when I give him the big injection, he’ll be gone in an instant.”

“Okay, let’s get it done.”

Joe went quietly, resting his nose on Dan’s legs when he was sedated.

Dan shed a couple of tears, patted Joe’s neck, and stood up.

“Do you need me to help to put him in the hole?” I asked.

“No, the neighbor is going to come back with his backhoe. Our daughter will be here before too long. She and her husband will be able to take care of everything. You can stop at the house, and Sue will give you a check.”

“There’s no charge for this, Dan. Stan paid the bill some time ago.”

I walked back to the truck alone, leaving Dan to pay his last respects to Joe. I sat in the truck for a moment, took a few deep breaths, and dried my eyes before pulling out onto the road.

Photo by Idella Maeland on Unsplash

From the Archives, one year ago

The Elk Hunt

https://docsmemoirs.com/2020/03/24/the-elk-hunt/

The Lucky Dog

D. E. Larsen, DVM

I was surprised at how light the pup was when I lifted him onto the exam table.

“Boy, this pup is skin and bones, Robert,” I said.

“Yes, that is why we are here,” Robert said. “He has been vomiting everything he eats for the last month. He was doing fine at first, just as lively as the other pups. But when we started feeding them some dog food, he started vomiting.”

“That’s a little unusual,” I said. “What does the vomitus look like?”

“Looks like dog vomit,” Robert said with a questioning look. “What do you mean.”

“I mean, does it happen an hour after he eats and the food is half-digested? Or is it shortly after he eats and the food looks like it hasn’t been in the stomach?”

“He always acts like he is starving. He gobbles the food faster than the other pups. Then he turns away from the dish and deposits it on the floor. It pretty much looks like it looks in the dish, now that I think about it.”

“Can you leave him with us for a few hours,” I asked? “I think we need to get some x-rays of his chest.”

“I guess so, but why will it take a few hours?”

“We are pretty busy this morning,” I said. “I need to get a plain picture of his chest, and then I probably will need to do a barium swallow. That will take a little time.”

“What are you thinking, Doc,” Robert asked?

“We see an abnormality in the dog where the aorta comes out of the heart and turns the wrong way. It is called a Persistent Right Aortic Arch. The normal aorta turns to the left.”

“What does that mean for the pup,” Robert asked?

“It doesn’t bother the heart, but the little vessel that runs from the aorta to the pulmonary artery traps the esophagus, so solid food doesn’t get through very well. Those pups do well when they are nursing but start having problems when they start eating solid food.”

“Can we fix it?”

“Sort of major Surgery for these hands, but yes, we can fix it. But it is rare. This might not be this pup’s problem at all. That is why we need to get some pictures. This causes a ballooning of the esophagus above that strap, called a mega-esophagus. That is why we need to do a barium swallow.”

“So what is a barium swallow? That sounds a little gruesome,” Robert said.

“We give a small amount of barium and then roll him a few times, so the barium coats the inside of the esophagus. This allows us to evaluate the esophagus, and if there is a mega-esophagus, it shows up well.”

“Okay, I will leave him for a few hours, but when will you do surgery if that is needed?”

“We need to have this guy on a liquid diet for a few weeks and get a little muscle on these bones before we put him through an open chest surgery. I will go over all of that when we have a diagnosis. And just for the record, have you put a name on this guy yet?”

Robert looked at the pup with a softening expression. “We were waiting to see if he was going to make it or not. I guess if he pulls through all of this, he will be a lucky dog. Let’s call him Lucky.”

Robert left Lucky with us for the afternoon. The x-rays showed a massive esophagus with ballooning in front of the heart that nearly filled the thorax’s front end.

***

“This is a classic picture of a persistent right aortic arch,” I said as I showed Robert the x-rays. “I have a recipe for you for a liquid diet. We need to feed Lucky this diet for 3 weeks. I will recheck him at that time. If he is gaining weight, we will schedule surgery.”

“Do we need to do anything else?” Robert asked.

“Lucky needs to eat in an elevated position, so it is easier for the liquid to flow into his stomach. Otherwise, it will settle into the bottom of this enlarged pocket in the esophagus. You need to rig up a platform for the food dish with a step for Lucky’s front feet, so he is standing almost straight up to eat and drink.”

***

“Has it been 3 weeks already?” I asked Robert. He was a different puppy. He was bright and alert and wagging his tail.

“Dixie says he has gained almost 5 pounds,” Robert said. 

“It is amazing what happens when they stop vomiting everything,” I said. “Do you want to schedule surgery now? You know that it will end up making this guy a valuable pup.”

“We understand that,” Robert said. “We discussed it and decided we couldn’t just put him to sleep. We need another dog around the house, so we will sell the rest of the litter, and that will help reduce the expense of this surgery.”

***

The surgery went well. It was very similar to a PDA surgery without the stress of possible rupture of the ductus. 

After collapsing a couple of lung lobes to all for an adequate working area, I ligated the ductus’ strap and severed it. I could see the esophagus expand at the point of the previous narrowing. Lucky was going to feel much better.

I placed a chest drain, and then, taking care to make sure the lungs were fully expanded, I closed the chest.

Following a couple of nerve blocks to control the pain in the chest wall, we recovered Lucky.

Lucky was up and around and not having any problems. There was no fluid in the chest drain. We should be able to pull it in the morning.

“Surgery went well, Robert. I would expect Lucky to improve every week. We’ll continue to feed him from an elevated position for the next six months, but with any kind of luck, he should be close to normal by then.”

“When can he go home?” Robert asked.

“He needs to stay until we pull his chest drain. Things are looking real good at this point, and that will likely happen in the morning. I would expect him to be ready to go home anytime tomorrow afternoon.”

***

“I pulled the drain this morning, and he is acting like a new puppy,” I said as I allowed Lucky out of the kennel.

Lucky was dancing around Robert and jumping up. He was ready to go home.

“Besides watching that incision, I want you to continue feeding Lucky from an elevated platform and using the liquid diet until we get the sutures out in two weeks. If he is doing well, we will start blending some canned food in with the liquid. I have it all written out for you. If things are going well, we will change to canned food in a couple of months.”

“When can we start feeding him dry dog food?” Robert asked.

“We will see, maybe never. Maybe after a year if Lucky has no vomiting with canned food. The trouble with dry food is these dogs eat it so fast. It may stress his esophagus too much.”

Lucky continued to grow and caught up with his litter mates in no time. Eventually, he returned to a standard diet that included some dry dog food. 

Lucky was indeed a lucky dog.

Photo by Josh Hild on Unsplash